MEDICARE: ANNETTE MARIE YUREK

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	0202007897	VA

General Provider Information

NPI Number	:	1598065682
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNETTE MARIE YUREK

Provider Business Mailing Address
First Line	:	8646 RICHMOND HWY
Second Line	:	SAFEWAY PHARMACY #1283
City	:	ALEXANDRIA
State	:	VA
Zip	:	22309-4205
Country	:	US
Telephone Number	:	703-780-3653
Fax Number	:

Provider Business Practice Location Address
First Line	:	8646 RICHMOND HWY
Second Line	:	SAFEWAY PHARMACY #1283
City	:	ALEXANDRIA
State	:	VA
Zip	:	22309-4205
Country	:	US
Telephone Number	:	703-780-3653
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2010
Last Update Date	:	10/24/2010

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Directions to “ ANNETTE MARIE YUREK ” Practice Location

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